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Appeals backlog

CMS offers appeals settlement

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11/09/2017

WASHINGTON – CMS recently announced a low volume appeals settlement for Part A and Part B appeals at the Office of Medicare Hearings and Appeal and the Medical appeals Council.

HHS scores win in appeals fight

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08/15/2017

NEW YORK – The D.C. Circuit on Aug. 11 ordered a federal judge to take a deeper look at whether or not the U.S. Department of Health and Human Services can clear a backlog of about 600,000 appeals by 2021, while still protecting taxpayer dollars, according to Law360.

Industry to CMS: Build out phone demo

‘This is really the first CMS innovation that is really worth a darn,’ says Andrea Stark
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02/24/2017

WASHINGTON – Industry stakeholders are throwing their support behind expanding a demonstration project that allows providers to speak with reconsideration professionals by phone to try and resolve their appeals.

HHS finalizes appeals rule

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01/19/2017

WASHINGTON – The Department of Health and Human Services has published a

Appeals: Court keeps HHS in hot seat

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01/06/2017

WASHINGTON – The U.S. District Court for the District of Columbia stands firm that the Department of Health and Human Services must implement procedures to curtail a massive appeals backlog in a timely fashion.

Analysis reveals worsening appeals backlog

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08/27/2015

WASHINGTON – The wait time for DME appeals at the administrative law judge level has increased by nearly 25% during the first half of 2015, according to an analysis released by AAHomecare.